**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**
1
Do you possess a Bachelor's degree in Nursing, Social Work, Psychology, Education, Counseling or a related field?
Yes
No
2
In which field of study is your degree? If you do not have a degree, enter N/A.
3
Do you posses a master's degree in public health or a related field from an accredited college or university?
Yes
No
4
What field of study is your master's degree in?
5
Describe your professional experience in health services. Health services is defined as experience in areas other than Mental Health, Developmental Disabilities or Addictions.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
6
Describe your experience at the managerial and/or supervisory level, especially in a Psychiatric setting.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
7
Describe your experience managing grants. In your description, please include employer, job duties and dates of employment. If you do not possess this experience, indicate N/A.
8.
Please describe your experience creating budgets and tracking expenditures. If you do not have this experience, enter N/A.
9.
Describe your experience developing program plans. Include employer, job duties and dates of employment. If no experience, indicate N/A.
Department of Budget and Management